Provider Demographics
NPI:1245500545
Name:MU, EUPHEMIA W (MD)
Entity type:Individual
Prefix:DR
First Name:EUPHEMIA
Middle Name:W
Last Name:MU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2111 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-2138
Mailing Address - Country:US
Mailing Address - Phone:740-566-4621
Mailing Address - Fax:740-566-4622
Practice Address - Street 1:719 EAST BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5113
Practice Address - Country:US
Practice Address - Phone:704-376-9849
Practice Address - Fax:704-323-6023
Is Sole Proprietor?:No
Enumeration Date:2012-01-04
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2018-00190207ND0101X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1245500545Medicaid